Individual
MISS ANGELA BRAZIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1403 SILVER LAKE RD NW STE 3, NEW BRIGHTON, MN 55112-6398
(845) 641-7459
Mailing address
1403 SILVER LAKE RD NW STE 3, NEW BRIGHTON, MN 55112-6398
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
03/19/2019
Last updated
03/19/2019
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